Certified Coding Specialist (CCS) Exam
Prep Questions -AHIMA 6th Edition
Carcinoma in situ - ANS-Tumor cells that are undergoing malignant changes but are still
confined to the point of origin without invasion of the surrounding normal tissue
Examples of carcinoma in situ - ANS-Intraepithelial infiltrating
The patient was admitted from the emergency department because of chest pain.
Following blood work, it was determined that the patient had elevated CPKs and MB
enzymes. The EKG shows nonspecific ST changes.
What type of diagnosis might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis - ANS-b
The CPK elevation with MB enzymes elevated and the EKG ST changes denote a
possible Ml (Leon-Chisen 2013, 386-387).
A patient is admitted and diagnosed with fever and urinary burning. The discharge
diagnosis· is Escherichia coli, urinary tract infection.
Which of the following represents the correct diagnoses and appropriate sequence of
those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli - ANS-d
Symptoms are not coded when a definitive diagnosis is present on discharge. The
patient discharge diagnosis of urinary tract infection. The organism (E. coli) is coded
with a seco diagnosis code (B96.20) which is to be added as an additional code to
identify the bacterial agent (HHS 2014, Section II.A., 98).
A patient was admitted with heart failure within one week of a heart transplant. Due to
the timing, the coder thought that it may represent a postoperative transplant rejection
following heart transplant.
, What action(s) should the coding staff take?
a. Query the physician.
b. Assign the codes for the postoperative transplant rejection.
c. Assign only the code for the transplant rejection.
d. Assign only the code for heart failure. - ANS-a
When the documentation is not clear regarding a potential complication, it is appropriate
query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013, 43-44).
A patient is admitted to a psychiatric unit of an acute-care facility. The patient
experienced the following symptoms almost every day for the last month: loss of interest
or pleasure in most or all activities, which is a change from her prior level of functioning.
She has also gained 15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty
making decisions.
What potential diagnosis most closely fits the patient's overall symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder - ANS-b
The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013,
175).
Inpatient:
Admission for inguinal hernia repair. This 30-year-old patient has acquired
immunodeficiency syndrome (AIDS) but is not symptomatic at this time due to
medication regimen. The procedure performed was a right indirect inguinal
herniorrhaphy via open approach. - ANS-ICD-10-CM: K40.90, B20,
A 75-year-old male patient was admitted from a nursing home with dehydration and
dysphagia due to a previous stroke. During hospitalization the patient was rehydrated
and transferred back to the nursing home. - ANS-ICD-10-CM: E86.0, I69.391
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